ACEP Now

FEBRUARY 11, 2024

A 25-year-old Venezuelan male presented to a Chicago area emergency department (ED) in early November 2023. He noted spending about five days walking through a jungle, as well as traversing rivers. Last reviewed October 5, 2023. Published January 12, 2023. Published November 1, 2023. Click to enlarge.) CDC website.

Infectious Diseases 52

Infectious Diseases CDC Military Emergency Department 52

ACEP Now

MARCH 6, 2024

The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice. How Best to Stop the Bleeding in Trauma? percent to 38.3

Research 52

Research Airway Management Stroke Outcomes 52

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. A 2015 meta-analysis of 9 studies consisting of 725 patients published in the International Journal of Infectious Diseases found PCT far superior to CRP, with PCT having a sensitivity of 90 and specificity of 98% [36]. N Engl J Med.

Infectious Diseases 87

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 87

EMDocs

APRIL 27, 2024

Infectious diseases , 4 (1), 34–39. Infectious diseases, 4(1), 34–39. Updated 2023 Apr 8]. Updated 2023 Apr 8]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. and Staphylococcus spp. 2 F ungal involvement (usually Aspergillus fumigatus ), especially in immunocompromised patients.

EMS 84

EMS Infectious Diseases Radiology Radiology 84

Taming the SRU

JUNE 12, 2023

Accessed April 28, 2023. However, there have been no studies statistically powered well enough regarding dog bite lacerations to confirm or dispute this claim. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America.

Infectious Diseases 102

Infectious Diseases Emergency Department Administration Academics 102

EM Literature of Note

SEPTEMBER 13, 2024

since August 2023. These authors compare the burden of lower respiratory tract infections and bronchiolitis admissions at 15 pediatric emergency departments across 2018 to 2024, with 2023-24 being the first season where nirsevimab was in wide usage.

Emergency Department 86

Emergency Department Pediatrics Administration Wellness 86

Pediatric EM Morsels

OCTOBER 6, 2023

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective.

Pediatrics 161

Pediatrics CDC Seizures Documentation/Coding 161

American Medical Compliance

FEBRUARY 2, 2024

These regulations went into effect on February 3, 2023. Use of the ATD Standard Cal/OSHA requires employers covered by the Aerosol Transmissible Disease (ATD) Standard (California Code of Regulations, Title 8, Section 5199) to protect employees from airborne infectious disease such as COVID-19 and pathogens transmitted by aerosols.

Infectious Diseases 52

Infectious Diseases Documentation/Coding PPE Wellness 52

Pediatric EM Morsels

AUGUST 11, 2023

Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. This is the 601st Ped EM Morsel ! Then July happens and we get 14 more amazing interns who help educate me and remind me that there is always more to learn.

Burns 130

Burns Pediatrics EMS Outcomes 130

ALiEM

DECEMBER 9, 2024

Physical Exam Vitals : BP 128/84; HR 88; Temp 98F; RR 18; SpO2 (on RA) 100% General : Well appearing HEENT : No conjunctival injection Cardiovascular : S1, S2; no murmurs, rubs, or gallops Skin : Erythematous patch with central clearing in left popliteal fossa Laboratory Data WBC : 5.1 Platelets : 223 Sodium : 139 Creatinine : 0.8

Emergency Department 60

Emergency Department CDC EMS Academics 60

ALiEM

JANUARY 22, 2024

The patient also complained of shortness of breath for one week associated with a dry cough, as well as an altered sensorium for one day. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved.

Documentation/Coding 64

Documentation/Coding Academics Emergency Department Hospitals 64

Pediatric Education

OCTOBER 8, 2023

The diagnosis of a healthy female was made who would be traveling to an area endemic for several infectious diseases. The pediatrician consulted the Centers for Disease Control website for vaccine recommendations for the Congo which indicated the need for malaria prophylaxis as well as Yellow Fever and Typhoid vaccine.

Infectious Diseases 40

Infectious Diseases Pediatrics Military Wellness 40

ALiEM

OCTOBER 16, 2023

Additional Images Physical Exam Vitals : BP 115/80; HR 120; T 101°F; RR 16; O2 sat 97% General : Well appearing in no acute distress HEENT : Poor dentition, mild trismus. Treatment should include both an extended course of antibiotic therapy as well as surgical source control of abscesses. The floor of the mouth is unremarkable.

Wellness 60

Wellness Academics Emergency Department Hospitals 60

ALiEM

DECEMBER 16, 2024

CT demonstrates osteomyelitis of the frontal bone with osseous destruction with a 5 cm bifrontal complex loculated anterior epidural abscess as well as a 3 cm midline frontal subgaleal extracranial scalp abscess. Laboratory Data WBC : 14.35 ESR : 23 mm/h CRP : 0.74 mg/dL Case Question: What CT imaging findings are shown here? PMID: 19352731.

Pediatrics 52

Pediatrics Academics Wellness Infectious Diseases 52

Don't Forget the Bubbles

SEPTEMBER 18, 2024

. ■ Case 1 focuses on a case seen in the emergency department and explores the common parental query of a “weak immune system” in a young child who has had several recurrent upper respirator tract infections back-to-back but is otherwise well. His parents are both fit and well and there is no family history of any medical conditions.

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

Pediatric Education

NOVEMBER 19, 2023

They felt he was breastfeeding well and had only mild jaundice. His examination was normal and the diagnosis of a well newborn infant was made. mg/dL which was well below treatment threshold. Some infants may need car seat tolerance screening as well. Accessed August 29, 2023. BMC Pediatr. 2021;21(Suppl 1):350.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

Don't Forget the Bubbles

FEBRUARY 28, 2024

2023; doi: 10.1159/000531034. The researchers concluded that oral brivudine offers an effective, well-tolerated therapy in immunocompromised children and could be used as an outpatient treatment. European Journal of clinical microbiology and infectious diseases. 2023; doi: 10.1159/000531034. Chemotherapy.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

Mind The Bleep

SEPTEMBER 17, 2024

Management The management is guided by the examination findings which are covered in the respective chapter, this section will delve into the importance of a number of those steps, as well as further long-term care. Always consider management as per ATLS protocol and SEPSIS 6 if relevant. Ensure the wound has been adequately washed out.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Similarly elevated rates of error, and related harms, are associated with other serious vascular, infectious disease, and cancer-related diagnoses, as well.

Research 52

Research Emergency Department Infectious Diseases Hospitals 52

Pediatric Education

OCTOBER 1, 2023

Non-polio enteroviruses have emerged which cause acute flaccid paralysis as well. ” Currently as of June 2023, there are 35 outbreak countries. Starting in May 2023, a targeted catch-up campaign for polio and measles, mumps and rubella is ongoing in the United Kingdom. List some common vaccine preventable diseases?

Infectious Diseases 40

Infectious Diseases Pediatrics Outcomes Wellness 40

PEMBlog

DECEMBER 4, 2024

Coverage with Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2023–24 School Year. If you’re unvaccinated and not up to date, well then what are you doing in healthcare? I’ve had patients say, well, I don’t want tetanus. Well, tough Schenectes.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

Pediatric Education

JULY 30, 2023

Her family was well-aware of signs and symptoms that the papillomas were recurring and when this occurred she slowly developed a raspy voice. Published online January 18, 2023. Over the past 6 months she has only needed 1 surgical treatment and was currently asymptomatic. They denied any other papillomas on her body. J Laryngol Otol.

Infectious Diseases 40

Infectious Diseases Pediatrics Wellness 40

EMDocs

JANUARY 11, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. 2023 Dec 1. There are no hard MAP recommendations. Neurocrit Care. Epub ahead of print.

Seizures 75

Seizures Shock Infectious Diseases CPR 75

PulmCCM

OCTOBER 30, 2023

Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

Pediatric Education

MAY 14, 2023

The pathophysiology is not well understood but is thought to begin with increased intracranial pressure leading to increased catecholamines and sympathetic storm, which then leads to systemic vasoconstriction and accumulating blood in the pulmonary system. Accessed February 6, 2023. Am Fam Physician. 2020;101(12):730-738.

Pediatrics 40

Pediatrics Infectious Diseases Burns Wellness 40

EMDocs

OCTOBER 5, 2024

ESBL are found exclusively in Gram-negative organisms, including: Klebsiella pneumoniae Klebsiella oxytoca Escherichia coli Proteus mirabilis Pseudomonas aeruginosa The first reported beta-lactamase enzyme was reported in 1963, and today there are well over 350 ESBL enzyme variants. The Lancet Infectious Diseases.

EMS 74

EMS Infectious Diseases Sepsis Hospitals 74

EMDocs

JULY 15, 2023

The patient reported feeling better, pain and other symptoms were well controlled 24 hours after starting antibiotics and pain medication. The border may be raised, but erysipelas does not cause overt superficial skin lesions that other infectious rashes might cause (e.g., Retrieved March 2, 2023, from [link] Levine, B.

EMS 66

EMS Infectious Diseases Shock Ultrasounds 66

RebelEM

AUGUST 3, 2023

JAMA Intern Med 2023. JAMA Intern Med 2023. Paper: Copaescu AM et al. Efficacy of a Clinical Decision Rule to Enable Direct Oral Challenge in Patients With Low-Risk Penicillin Allergy: The PALACE Randomized Trial. References: Copaescu AM et al.

Anaphylaxis 52

Anaphylaxis Allergic Reactions Outcomes Infectious Diseases 52

EMDocs

DECEMBER 18, 2023

1 However, given that the benefit for patients with sepsis who are not in shock is not as apparent if the diagnosis is unclear, antibiotics can be delayed for up to three hours to allow further infectious workup and avoid inappropriate antibiotic delivery. Accessed June 10, 2023. J Intensive Care Med. 2020;323(10):938–949. J Clin Med.

Sepsis 65

Sepsis Fluid Resuscitation Resuscitation Shock 65

Pediatric Education

JUNE 25, 2023

Borates can cause skin irritation and there can be some reproductive changes as well. Related Cases Disease: Ear Infections Symptom/Presentation: Ear Pain Specialty: Otolaryngology | Infectious Diseases Age: Teenager To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Outcomes 40

Pediatric Education

SEPTEMBER 1, 2024

Smallpox is an ancient disease and an especially well-known cause of severe morbidity and mortality and therefore was used as a curse or epiphet. The lesions are 7-10 mm in diameter, round, firm, deep-seated and well circumscribed… ” Lesions tend to appear more on the forearms and face than rest of the body.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Sepsis 40

Don't Forget the Bubbles

SEPTEMBER 23, 2024

This is particularly crucial in younger children who have received a large adult kidney and typically have relatively low creatinine levels when stable and well. Additionally, any child with a kidney transplant might have some degree of chronic kidney disease (CKD). When in doubt, call the team. and Hirsch, H.H., Myette, R.L.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Sensible Medicine

SEPTEMBER 25, 2024

Varma admits to precisely what I argued: infectious disease public health docs use propaganda and lobbying and corruption to sell products and not well designed randomized trials. One mistake he makes in the video however is thinking the market share of tecovirimat is related to the number of pills dispensed.

Infectious Diseases 136

Infectious Diseases Administration Hospitals Research 136

EMDocs

NOVEMBER 25, 2024

volvulus as well as improvements in the diagnosis and treatment of this morbid disease. Updated 2023 Aug 25]. Patients from endemic regions with signs and symptoms suggestive of onchocerciasis will require multidisciplinary consultation, including ophthalmology, dermatology, and infectious disease. Onchocerciasis.

Infectious Diseases 54

Infectious Diseases Emergency Department EMS Administration 54

EMDocs

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. Case Resolution The patient and family remain in isolation and receive risk stratification assessment for a notifiable disease of public health concern. 1 By the end of 2023, 117.3 Hypoglycemia is managed with IV dextrose.

Infectious Diseases 57

Infectious Diseases CDC PPE Rapid Diagnostic Testing 57

EMDocs

NOVEMBER 2, 2024

A broad workup is initiated for altered mental status, including an STD panel, which shows a reactive Venereal Disease Research Laboratory (VDRL) and a negative CT head. Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. 2023 Nov 9;389(19):1828.

EMS 92

EMS Infectious Diseases CDC Research 92